NPI | 1932216900 |
---|---|
Former Legal Business Name | GREGORY L OBERMANN DDS PC |
Entity Type | Organization |
Authorized Contact | GREGORY LYLE OBERMANN Owner 970-351-7153 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 105199) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2008-06-19 |